Discussion on the operative time of two stage soft ureteroscope lithotripsy for hemorrhagic embolism after percutaneous nephrolithotomy
10.3760/cma.j.issn.1008-6706.2017.14.015
- VernacularTitle:经皮肾穿刺取石术出血栓塞后二期输尿管软镜碎石手术时间探讨
- Author:
Xianlin YI
;
Qiwei CHEN
;
Wenchao YU
;
Qingyun ZHANG
;
Haoyuan LU
;
Qinggui MENG
;
Jiwen CHENG
- Keywords:
Nephrostomy;
percutaneous;
Postoperative hemorrhage;
Embolization therapeutic;
Ureteroscopes;
Lrthoripsy
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(14):2131-2133
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the the operative time of two stage soft ureteroscope lithotripsy for hemorrhagic embolism after percutaneous nephrolithotomy(PCNL).Methods The clinical data of 1 patient with massive hemorrhage after PCNL who treated with superselective renal artery embolization and ureteral soft lens were analyzed.Results The patient with postoperative bleeding after PCNL was treated with superselective renal artery branch embolization,after 30d embolization,the holmium laser lithotripsy under the soft ureteroscope for ureteral calculi was performed,and the renal pelvis mucosa smooth,no bleeding and scar formation were intraoperative visible.After operation,the stone was removed basically,and the double J tube was removed 2 weeks after operation.The patient had no special discomfort and the renal function was normal.Conclusion Postoperative 14-30d is a relatively safe time to perform flexible ureteroscopic lithotripsy for super selective renal artery embolization in the treatment of patient with massive hemorrhage after PCNL.
